By K. G. Ober, H. Meinrenken (auth.)

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Extra resources for Gynakologische Operationen

Sample text

L:nt c rh a ut fett~-te welH'. iiJrigrn ~f11skrln. Er~t. ll

1st das nicht der Fall, dann k erben wir im sehnigen Anteil die Rectusmuskeln etwa 1- 2 em oberhalb ihres Ansatzes an der Symphyse ein, oder wir durchtrennen sie sogar ganz (Abb. 14). ir diese Durchtrennung verwenden wir gerne den Elektrokauter. AnschlieBend wird im kra nialen Wundbereich die Fascia transversalis in der Mittellinie auf 3- 4 em mit dem Skalpell durchschnitten. J. mten ~ti c l :5e hnit t V IIT. Hei groL\c m. H a nmbcdiirfnis ist. \H'l'kw:Wig

Die oberfliichlichen Schichten ziehen mehr nach kranial, die tieferen mehr transversal (Abb. 10). Der Muskelbauch des Obliquus internus wird nicht eingeschnitten, sondern besser stump£ getrennt, da es dann nicht blutet. Je nach der entwickelten Bauchmuskulatur und den Aponeurosen Iiegt lateral der Rectus- Abb . ll. Pfannem;tielsehnitt V. bWsuug der vercinigtcn Al)Ollcurusen v o1n ) f. rect us. tc scharfc Klcmmen fix icrc n die Aponcurm;c nnd die L inea a lba. Fingern wird d cr Alnskcl s tumpf von d cr Apoucurosc gol6st.

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